摘要
目的 探讨不同剂量罗哌卡因腰硬联合麻醉(CSEA)在剖宫产中的效果及对产妇血流动力学的影响。方法 选取2019年5月-2021年6月我院行剖宫产产妇78例,以随机数字表法将其分为CSEA 1组和CSEA 2组,每组39例。两组均行CSEA,CSEA 1组给予罗哌卡因2 ml,CSEA 2组给予罗哌卡因1 ml。比较两组麻醉前(T0)、麻醉后10 min(T1)、胎儿娩出后即刻(T2)、手术结束后即刻(T3)四个时间段中产妇心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO_(2))、麻醉起效时间、麻醉平面固定时间及镇痛效果。结果 CSEA 2组T1、T2、T3时段HR低于CSEA 1组,MAP、SpO2高于CSEA 1组(P<0.05);CSEA 2组麻醉起效时间长于CSEA 1组、麻醉平面固定时间短于CSEA 1组(P<0.05);CSEA 2组术后4、8、12 h VAS评分低于CSEA 1组(P<0.05)。结论 在剖宫产术中应用小剂量罗哌卡因CSEA不仅不影响麻醉效果及镇痛效果,还能够一定程度上减轻血流动力学的影响,具有临床应用价值。
Objective To investigate the effect on different doses of ropivacaine with combined spinal and epidural anesthesia(CSEA) in cesarean section and its influence on maternal hemodynamics.Methods A total of 78 parturients undergoing cesarean section in our hospital from May 2019 to June 2021 were selected and divided into CSEA 1 group and CSEA 2 group by random number table method,with 39 cases in each group.CSEA was performed in both groups.CSEA group 1 was given 2 ml ropivacaine,and CSEA group 2 was given 1 ml ropivacaine.Maternal heart rate(HR),mean arterial pressure(MAP),oxygen saturation(SpO_(2)) before anesthesia(T0),10 min after anesthesia(T1),immediately after fetal delivery(T2) and immediately after surgery(T3),onset time of anesthesia,anesthesia plane fixation time and analgesic effect were compared between the two groups.Results HR at T1,T2 and T3 in CSEA 2 group was lower than that in CSEA 1 group,MAP and Sp O2were higher than those in CSEA 1 group(P<0.05).The onset time of anesthesia in CSEA 2 group was longer than that in CSEA 1 group,and the anesthesia plane fixation time was shorter than that in CSEA 1 group(P<0.05).The VAS scores at 4,8 and 12 h after operation in CSEA 2 group were lower than those in CSEA 1 group( P<0.05).Conclusion The application of low-dose ropivacaine CSEA in cesarean section not only does not affect the anesthetic effect and analgesic effect,but also can reduce the hemodynamic effect to a certain extent,which has clinical application value.
作者
尧友冬
YAO You-dong(Department of Anesthesiology,Jinxi County People's Hospital,Jinxi 344800,Jiangxi,China)
出处
《医学信息》
2022年第17期132-134,共3页
Journal of Medical Information
关键词
剖宫产
腰硬联合麻醉
罗哌卡因
Cesarean section
Combined spinal and epidural anesthesia
Ropivacaine
